scholarly journals The Canadian 24-Hour Movement Guidelines for Children and Youth: Implications for practitioners, professionals, and organizations

2016 ◽  
Vol 41 (6 (Suppl. 3)) ◽  
pp. S328-S335 ◽  
Author(s):  
Amy E. Latimer-Cheung ◽  
Jennifer L. Copeland ◽  
Jonathon Fowles ◽  
Lori Zehr ◽  
Mary Duggan ◽  
...  
Keyword(s):  
Public Health ◽  
Service Provision ◽  
Interdisciplinary Collaboration ◽  
Vigorous Physical Activity ◽  
Implementation Strategies ◽  
Health Impact ◽  
Children And Youth ◽  
Dissemination And Implementation ◽  
Evaluation Plan

The new Canadian 24-Hour Movement Guidelines for Children and Youth emphasize the integration of all movement behaviours that occur over a whole day (i.e., light, moderate, and vigorous physical activity, sedentary behaviour, and sleep). These guidelines shift the paradigm away from considering each behaviour in isolation. This concept of the “whole day matters” not only calls for a change in thinking about movement but also for redevelopment of dissemination and implementation practice. Past guideline launch activities largely have aimed to create awareness through passive dissemination strategies (e.g., Website posts, distribution of print resources). For the integrated guidelines to have public health impact, we must move beyond dissemination and raising of awareness to implementation and behaviour change. Shifting this focus requires new, innovative approaches to intervention, including interdisciplinary collaboration, policy change, and refocused service provision. The purpose of this paper is to identify practitioners, professionals, and organizations with potential to disseminate and/or implement the guidelines, discuss possible implementation strategies for each of these groups, and describe the few resources being developed and those needed to support dissemination and implementation efforts. This discussion makes readily apparent the need for a well-funded, comprehensive, long-term dissemination, implementation, and evaluation plan to ensure uptake and activation of the guidelines.

scholarly journals Public Health Implications of Solar UV Exposure during Extreme Cold and Hot Weather Episodes in 2018 in Chilton, South East England

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Rebecca Rendell ◽  
Michael Higlett ◽  
Marina Khazova ◽  
John O’Hagan
Keyword(s):  
Public Health ◽  
Extreme Temperature ◽  
Health Impact ◽  
Uv Exposure ◽  
Cold Weather ◽  
Alert System ◽  
Health Implications ◽  
Health Advice ◽  
Solar Uv

Consideration of the implications of solar UV exposure on public health during extreme temperature events is important due to their increasing frequency as a result of climate change. In this paper public health impacts of solar UV exposure, both positive and negative, during extreme hot and cold weather in England in 2018 were assessed by analysing environmental variations in UV and temperature. Consideration was given to people’s likely behaviour, the current alert system and public health advice. During a period of severe cold weather in February-March 2018 UV daily doses were around 25–50% lower than the long-term average (1991–2017); however, this would not impact on sunburn risk or the benefit of vitamin D production. In spring 2018 unseasonably high temperatures coincided with high UV daily doses (40–75% above long-term average) on significant days: the London Marathon (22 April) and UK May Day Bank Holiday weekend, which includes a public holiday on the Monday (5–7 May). People were likely to have intermittent excess solar UV exposure on unacclimatised skin, causing sunburn and potentially increasing the risk of skin cancers. No alerts were raised for these events since they occurred outside the alerting period. During a heat-wave in summer 2018 the environmental availability of UV was high—on average of 25% above the long-term average. The public health implications are complex and highly dependent on behaviour and sociodemographic variables such as skin colour. For all three periods Pearson’s correlation analysis showed a statistically significant (p<0.05) positive correlation between maximum daily temperature and erythema-effective UV daily dose. Public health advice may be improved by taking account of both temperature and UV and their implications for behaviour. A health impact-based alert system would be of benefit throughout the year, particularly in spring and summer.

scholarly journals Opportunities and strategies for HIA implementation – from a public health perspective

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
O Mekel ◽  
P Martin-Olmedo ◽  
T Classen
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Implementation Strategies ◽  
Health Impact ◽  
Health In All Policies ◽  
Legal Basis ◽  
Public Health Perspective ◽  
The World ◽  
Policy Arena

Abstract Health Impact Assessment (HIA) has various origins: environmental health, health promotion with the perspective of the wider determinants of health, and health equity. These three individual but related areas are linked by the overall aim of promoting healthier programmes, policies and projects, which are developed in non-health sectors mostly. As a consequence, this led to a significant use of HIA worldwide. The areas are complementary, but given their different original frameworks, applied methodologies may differ. Another typology of characterizing HIA can be done by the purpose for which HIA has been conducted in practice: mandated, decision support, advocacy and community-led HIA. These forms are important with regard to HIA implementation strategies. By now, the consideration of health in Environmental Impact Assessment (EIA) has become an established feature, not least due to the mandatory legal basis in many countries of the world. However, this situation is different for application in other policy areas so far. Some countries, in the absence of specific HIA legislation, have established HIA support units to conduct, commission, support HIA and deliver training. Advocacy and community-led HIA are mainly carried out by non-governmental organisations and universities. However, in general the potential of HIA has not yet been fully recognised: HIA is seen as a time-consuming and costly process and the effectiveness of HIA has not yet been communicated convincingly. The Health in All Policies approach is becoming increasingly important in the policy arena as a strategy to reduce non-communicable diseases by policies from non-health sectors. This requires different public health methods for implementation. HIA is particularly suitable for this. This development offers new opportunities for the implementation of HIA, which will be presented in detail.

scholarly journals Interferon Beta-1b for Multiple Sclerosis: Service Provision Promoting Therapy Adherence in Queensland, Australia

2006 ◽  
Vol 8 (3) ◽  
pp. 107-109
Author(s):  
Tim O'Maley ◽  
Bernadette Gazzard
Keyword(s):  
Public Health ◽  
Multiple Sclerosis ◽  
Health Professionals ◽  
Service Provision ◽  
Interferon Beta ◽  
Treatment Success ◽  
Specific Information ◽  
Community Groups ◽  
Nursing Service

Adherence issues are an important consideration in the long-term support of patients who are using immunotherapies as part of their overall multiple sclerosis (MS) management. The MS Clinic nursing service at the Royal Brisbane and Women's Hospital (RBWH) in Queensland, Australia, is staffed by two registered nurses. The service is responsible for disseminating MS-specific information and education on immunotherapies to people with MS, other health professionals, and community groups. Literature strongly suggests that psychosocial, physical, emotional, cognitive, and knowledge factors affect adherence rates. Perhaps the most important factor is patient expectations of therapy and perceptions of treatment success and failure. This article is a snapshot of a clinical service provided by a hospital-based public health MS nursing service.

scholarly journals SIPsmartER delivered through rural, local health districts: adoption and implementation outcomes

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kathleen J. Porter ◽  
Donna Jean Brock ◽  
Paul A. Estabrooks ◽  
Katelynn M. Perzynski ◽  
Erin R. Hecht ◽  
...  
Keyword(s):  
Implementation Strategy ◽  
Implementation Strategies ◽  
Health Impact ◽  
Dissemination And Implementation ◽  
High Fidelity ◽  
Local Health ◽  
Implementation Outcomes ◽  
Phone Calls ◽  
Adoption And Implementation ◽  
Health Districts

Abstract Background SIPsmartER is a 6-month evidenced-based, multi-component behavioral intervention that targets sugar-sweetened beverages among adults. It consists of three in-person group classes, one teach-back call, and 11 automated phone calls. Given SIPsmartER’s previously demonstrated effectiveness, understanding its adoption, implementation, and potential for integration within a system that reaches health disparate communities is important to enhance its public health impact. During this pilot dissemination and implementation trial, SIPsmartER was delivered by trained staff from local health districts (delivery agents) in rural, Appalachian Virginia. SIPsmartER’s execution was supported by consultee-centered implementation strategies. Methods In this mixed-methods process evaluation, adoption and implementation indicators of the program and its implementation strategy (e.g., fidelity, feasibility, appropriateness, acceptability) were measured using tracking logs, delivery agent surveys and interviews, and fidelity checklists. Quantitative data were analyzed with descriptive statistics. Qualitative data were inductively coded. Results Delivery agents implemented SIPsmartER to the expected number of cohorts (n = 12), recruited 89% of cohorts, and taught 86% of expected small group classes with > 90% fidelity. The planned implementation strategies were also executed with high fidelity. Delivery agents completing the two-day training, pre-lesson meetings, fidelity checklists, and post-lesson meetings at rates of 86, 75, 100, and 100%, respectively. Additionally, delivery agents completed 5% (n = 3 of 66) and 10% (n = 6 of 59) of teach-back and missed class calls, respectively. On survey items using 6-point scales, delivery agents reported, on average, higher feasibility, appropriateness, and acceptability related to delivering the group classes (range 4.3 to 5.6) than executing missed class and teach-back calls (range 2.6 to 4.6). They also, on average, found the implementation strategy activities to be helpful (range 4.9 to 6.0). Delivery agents identified strengths and weakness related to recruitment, lesson delivery, call completion, and the implementation strategy. Conclusions In-person classes and the consultee-centered implementation strategies were viewed as acceptable, appropriate, and feasible and were executed with high fidelity. However, implementation outcomes for teach-back and missed class calls and recruitment were not as strong. Findings will inform the future full-scale dissemination and implementation of SIPsmartER, as well as other evidence-based interventions, into rural health districts as a means to improve population health.

scholarly journals The Long-Term Public Health Impact of a Community-Based Participatory Research Project for Health Promotion Among Socially Disadvantaged Women—A Case Study Protocol

2021 ◽  
Vol 9 ◽  
Author(s):  
Karim Abu-Omar ◽  
Heiko Ziemainz ◽  
Julika Loss ◽  
Michael Laxy ◽  
Rolf Holle ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Community Based Participatory Research ◽  
Health Impact ◽  
Public Health Impact ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Socially Disadvantaged ◽  
Disadvantaged Women

Introduction: Community-based participatory research (CBPR) is considered to be of high potential for health promotion among socially disadvantaged groups. However, the long-term implementation and transfer of these approaches remain challenging, and the public health impact they achieve is difficult to study. This also pertains to the potential health effects and cost-effectiveness of CBPR. This study protocol describes the follow-up case study (NU-BIG) after 15 years of the BIG project (“movement as investment in health”), a project to promote physical activity among socially disadvantaged women. Through a participatory approach, BIG empowers the addressed women to plan and implement low-threshold physical activity offers. Since the project started in 2005, it was transferred to 17 communities in Germany.Materials and Analysis: NU-BIG intends to examine the long-term effects, including economic aspects, of the BIG project on individual and structural levels at all project sites, as well as its long-term implementation and transfer. NU-BIG is a cross-sectional and longitudinal study using a mixed method approach. For the longitudinal section, we re-analyze existing data from former BIG evaluations. For cross-sectional data collection, we use questionnaires and conduct qualitative interviews and focus groups. Women who take part in BIG program offers are part of the research team and will use the photo-voice approach to report on the effects of BIG. The study population consists of about 800 women who participate in BIG project offers and 50 persons involved in the implementation of the BIG project at local sites.Discussion: The expected results from NU-BIG are highly relevant for studying the long-term public health impact of CBPR. In particular, this project intends to answer questions on how the transfer of such projects can succeed and which factors determine if a CBPR project can be sustained at the community level. Eventually, these results can contribute to the further development of participatory approaches to provide effective health promotion among socially disadvantaged groups.Conclusion: Although CBPR is seen of having the potential to reduce health disparities, there is still a lack of research on its long-term effects and public health impact. NU-BIG aims at generating knowledge about the economic effects, reach, efficacy, adoption, implementation, and maintenance of a CBPR project. The expected results could be of high interest for BIG and other CBPR-projects.

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